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8/8/2019 18994983-Esi
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THE EMPLOYEES' STATE INSURANCE
ACT,1948This Act may be called the Employees' State
Insurance Act,1948.
(2) It extends to the whole of IndiaIt shall apply, in the first instance, to all factories
Appropriate Government may extend the
provisions of this Act to any other establishment
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COVERAGE «The ESI Act 1948 applies to
´ Non ² seasonal Factories using power in andEmploying ten (10) or More persons
´ Non ² seasonal and non- power using factoriesand establishments employing twenty(20) ormore persons
´ Employees of the Factories and Establishmentsin receipt of wages not exceeding Rs.10,000 /-Per month are covered under this Act.
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It has also been extended upon shops,
hotels, restaurants, roads motor transport
under takings, equipment maintenance
staff in the hospitals.
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THE ESI SCHEME TODAY
No.of implemented Centres 677
No.of Employers covered . 2.38 lacs
No.of Insured persons 85 lacs
No.of Beneficiaries 330 lacs
No.of Regional offices/SRO·s 26
No.of ESI Hospitals / Annexes 1453
No.of Panal Clinics 2950
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I] DEFINITIONS
1) ´Wages" means -----
all remuneration paid or payable, in cash to an employee, if
the terms of the contract of employment, express or implied,
were fulfilled and includes any payment to an employee inrespect of any period of authorized leave, lock-out, strike
which is not illegal or lay -off and other additional
remuneration, if any, paid at intervals not exceeding two
months, but does not include
(a) any contribution paid by the employer to any pension
fund or provident fund, or under this Act;
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(b) any travelling allowance or the value of any
travelling concession;
(c) any sum paid to the person employed to defray
special expenses entailed on him by the nature of hisemployment; or
(d) any gratuity payable on discharge
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W AGES FOR ESI CONTRIBUTIONS
TO BE DEEMED ASW AGESTO BE DEEMED ASW AGES
Basic payBasic pay
Dearness allowanceDearness allowance
House rent allowanceHouse rent allowance
City compensatory allowanceCity compensatory allowance
Overtime wages (but not to be takenOvertime wages (but not to be taken
into account for determining theinto account for determining thecoverage of an employee)coverage of an employee)
Payment for day of restPayment for day of rest
Production incentiveProduction incentive
Bonus other than statutory bonusBonus other than statutory bonus
Nightshift allowanceNightshift allowance Payment for unPayment for un--substituted holidayssubstituted holidays
Meal / food allowanceMeal / food allowance
Suspension allowanceSuspension allowance
Lay off compensationLay off compensation
Children education allowanceChildren education allowance Heat, Gas & Dust allowanceHeat, Gas & Dust allowance
NOT TO BE DEEMED ASW AGESNOT TO BE DEEMED ASW AGES
Contribution paid by the employer to anyContribution paid by the employer to any
Sum paid to defray( discharge, clear ) Sum paid to defray( discharge, clear )
special expensesspecial expenses
Gratuity payable on dischargeGratuity payable on discharge
Pay in lieu of notice retrenchmentPay in lieu of notice retrenchment
Benefits paid under the ESI SchemeBenefits paid under the ESI Scheme Encashment of leaveEncashment of leave
Payment of Payment of InamInam which does mean part of which does mean part of
employmentemployment
Washing allowance for livery ( uniform)Washing allowance for livery ( uniform)
Conveyance Amount towardsConveyance Amount towardsreimbursement for duty related journeyreimbursement for duty related journey
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"dependant" means any of the following relatives of a deceased
insured person, namely,-
(i) a widow, a minor legitimate or adopted son, an unmarried legitimate or
adopted daughter .
(ia) a widowed mother .
(ii) if wholly dependent on the earnings of the insured person at the time
of his death, a legitimate or adopted son or daughter who has attained the
age of eighteen years and is; infirm ( Sick).
(iii) if wholly or in part dependent on the earnings of the insured person at
the time of his death -
(a) a parent other than a widowed mother,
(b) a minor illegitimate son,
an unmarried illegitimate daughter or
a daughter legitimate or adopted or illegitimate if married and a minor or
if widowed and a minor
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(c) a minor brother or an unmarried sister or a
widowed sister if a minor,
(d) a widowed daughter-in-law,
(e) a minor child of a pre-deceased son,
(f) a minor child of a pre-deceased daughter where
no parent of the child is alive, or
(g) a paternal grand-parent if no parent of the
insured person is alive
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"employee" means *
any person employed for wages in or in connection
with the work of a factory or establishment to which
this Act appliesPersons employed through contractors also included
but does not include
(a) any member of the Indian naval, military or air
forces; or(b) any person so employed whose wages (excluding
remuneration for overtime work) exceed Rs.10,000/-
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"family" means all or any of the following relatives of an insured
person, namely,-
(i) a spouse;
(ii) a minor legitimate or adopted child dependent upon the
insured person;
(iii) a child who is wholly dependent on the earnings of the
insured person and who is-
(a) receiving education, till he or she attains the age of twenty-
one years,
(b) an unmarried daughter;
(iv) a child who is infirm (sick) by reason of any physical or mental
abnormality or injury and is wholly dependent on the earnings of
the insured person, so long as the infirmity continues;
(v) dependent parents;
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"employment injury" means *
a personal injury to an employee caused by
accident
or
an occupational disease arising out of and in the
course of his employment, being an insurable
employment,
whether the accident occurs or the occupational
disease is contracted within or outside the
territorial limits of India
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"permanent partial disablement" means
such disablement of a permanent nature,
which reduces the earning capacity of an employee inevery employment
which he was capable of undertaking at the time of the
accident resulting in the disablement:
Every injury specified in Part II of the Second Scheduleshall be deemed to result in permanent partial disablement
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"permanent total disablement" means such
disablement of a permanent nature which incapacitates an
employee for all work which he was capable of performing
at the time of the accident resulting in such disablement:
permanent total disablement shall be deemed to result
from every injury specified in Part I of the Second Schedule
or from any combination of injuries specified in Part II
thereof where the aggregate percentage of the loss of
earning capacity, as specified in the said Part II againstthose injuries, amounts to one hundred per cent or more
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"temporary disablement" means a condition resulting
from an employment injury
which requires medical treatment and renders anemployee, as a result of such injury, temporarily incapable
of doing the work which he was doing prior to or at the time
of the injury
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"immediate employer", ---- means a person
who has undertaken the execution, on the premises of a
factory, or an establishment to which this Act applies or
under the supervision of the principal employer or his
agent, of the whole or any part of any work which is part of
the work of the factory or establishment, or incidental to
the purpose of, any such factory or establishment,
and includes a person by whom the services of an
employee who has entered into a contract of service withhim are temporarily lent or let on hire to the principal
employer and includes a contractor;
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"principal employer" means±
(i) in a factory, the owner or occupier of the factory, and
includes the managing agent of such owner or occupier, the
legal representative of a deceased owner or occupier, and
where a person has been named as the manager of the
factory under the Factories Act, 1948; the person so named;
(ii) in any establishment under the control of any department of
any government in India, the authority appointed by such
government in this behalf or where no authority is so
appointed, the head of the department;
(iii) in any other establishment, any person responsible for the
supervision and control of the establishment;
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2 A. REGISTRATION OF FACTORIES AND
ESTABLISHMENTS
It is the statutory responsibility of the employer. The owner
of a factory / est. to which the Act applies for the first time
is liable to furnish to the appropriate regional within 15 days
a declaration of registration in Form 01.
On receipt of the form the regional office will examine the
coverage and after its is satisfied that the Act applies to the
factory/est. will allot a code number to the employer
The principal employer should get the declaration form
filled in by every employee covered under the Scheme.
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II. AUTHORITIES
´ Different bodies are constituted for the
implementation and enforcement of the
provisions of the Act. The bodies are
´ 1) Corporation
´ 2) Standing Committee and
´ 3) Medical Benefit Council
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ESI CORPORATION
´ The Corporation shall be a body corporate by
the name of Employees' State Insurance
Corporation having perpetual succession and a
common seal and shall by the said name sue
and be sued.
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STANDING COMMITTEE
´ A Standing Committee is constituted from among the
members of the Corp.
´ 1) to administer the affairs of the Corporation and may
exercise any of the powers and perform any of the
functions of the Corporation.
´ (2) The Standing Committee shall submit for the
consideration and decision of the Corporation all such
cases and matters as may be specified in the
regulations made in this behalf.
´ (3) The Standing Committee may, in its discretion,
submit any other case or matter for the decision of the
Corporation.
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MEDICAL BENEFIT COUNCIL
´ The Medical Benefit Council shall²
´ (a) advise the Corporation and the Standing Committee onmatters relating to the administration of medical benefit,
the certification for purposes of the grant of benefits andother connected matters;
´ (b) have such powers and duties of investigation as may beprescribed in relation to complaints against medicalpractitioners in connection with medical treatment and
attendance; and´ (c) perform such other duties in connection with medical
treatment and attendance as may be specified in theregulations.
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III. FINANCE AND AUDITEmployees' State Insurance Fund
´ (1) All contributions paid under this Act and all other moneysreceived on behalf of the Corporation is paid into a fund calledthe Employees' State Insurance Fund which is administered bythe Corporation for the purposes of this Act.
´ (2) The Corporation may accept grants, donations and gifts
from the Central or any State Government, local authority, orany individual or body whether incorporated or not, for all or anyof the purposes of this Act.
´ (3) All moneys accruing or payable to the said Fund shall bepaid into the Reserve Bank of India or such other bank as may
be approved by the Central Government to the credit of anaccount styled the account of the Employees' State InsuranceFund.
´ (4) Such account shall be operated on by such officers as maybe authorized by the Standing Committee with the approval of the Corporation.
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PURPOSES OF THE FUND
´ The Employees' State Insurance Fund shall be expended onlyfor the following purposes, namely:--
´ (i) payment of benefits and provision of medical treatment
and attendance to insured persons and, where the medical
benefit is extended to their families, the provision of such
medical benefit to their families,´ (ii) payment of fees and allowances to members of the
Corporation, the Standing Committee and the Medical
Benefit Council, the regional boards, local committees and
regional and local Medical Benefit Councils;
´ (iii) payment of salaries, leave and joining time allowances,
travelling and compensatory allowances, gratuities and
compassionate allowances, pensions, contributions to
provident or other benefit fund of officers and servants of the
Corporation
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´ (iv) establishment and maintenance of hospitals, dispensaries and
other institutions and the provision of medical and other ancillary
services
´ v) payment of contributions to any State Government, local authority
or any private body or individual, towards the cost of medical
treatment and attendance provided to insured persons including
the cost of any building and equipment in accordance with any
agreement entered into by the Corporation;
´ (vi) defraying ( clear, settle up) the cost (including all expenses) of
auditing the accounts of the Corporation and of the valuation of itsassets and liabilities;
´ (vii) defraying the cost (including all expenses) of the Employees'
State Insurance Courts set up under this Act;
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(viii) payment of any sums under any contract entered into for the
purposes of this Act by the Corporation or the Standing Committee
or by any officer duly authorized by the Corporation or the Standing
Committee in that behalf;
(ix) payment of sums under any decree, order or award of any Court
or Tribunal against the Corporation
(x) defraying the cost and other charges of instituting or defending
any civil or criminal proceedings arising out of any action taken
under this Act;
(xi) defraying expenditure, within the limits prescribed, on measures
for the improvement of the health and welfare of insured persons and
for the rehabilitation and re-employment of insured persons who
have been disabled or injured; and
(xii) such other purposes as may be authorised by the Corporation
with the previous approval of the Central Government.
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´ Holding of property
´ Budget estimates and accounts
´ Audit´ (1) The accounts of the Corporation shall be audited annually
by the Comptroller and Auditor-General of India and any
expenditure incurred by him in connection with such audit shall
be payable by the Corporation´ (2) He and any person appointed by him shall have the same
rights and privileges and authority in connection as in
connection with the audit of government accounts and have
the right to demand the production of books, accounts,
connected vouchers and other documents and papers and toinspect any of the offices of the Corporation.
´ (3) The accounts with the audit report thereon shall be
forwarded to the Corporation which shall forward the same to
the Central Government along with its comments on the report
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BUDGET, AUDITED ACCOUNTS AND THE ANNUAL
REPORT TO BE PLACED BEFORE PARLIAMENT
´ The annual report, the audited accounts of the
Corporation together with the report of the
Comptroller and Auditor-General of India
thereon and the comments of the Corporation
on such report and the budget as finally
adopted by the Corporation shall be placed
before Parliament
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IV. CONTRIBUTIONS
´ All employees to be insured *
´ Subject to the provisions of this Act, all
employees in factories or establishments to
which this Act applies shall be insured in the
manner provided by this Act
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RATE AND PERIOD OF CONTRIBUTION
The contribution payable under this Act in respect of anemployee shall comprise contribution payable by the employer
(hereinafter referred to as the employer's contribution) and
contribution payable by the employee (hereinafter referred to
as the employee's contribution) and shall be paid to the
Corporation.Payable such as
1. Employees· Contribution ² 1.75% of the Wages
2. Employers· Contribution ² 4.75% of the Wages
TOTAL - 6.5 % of the Wages
Employees in receipt of an average daily wage of Rs.70/- orLess, are exempted from Payment of their share of contribution
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CONTRIBUTION PERIOD AND BENEFIT
PERIOD
Contribution period Corresponding benefit
period
1 April to 30 September 1 January to 30 June
1 October to 31 March
The contributions
payable in respect of
each wage period shall
ordinarily fall due on the
last day of the wage
period ,
1 July to 31 December
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BENEFIT PERIOD
If the person joined insurable
employment for the first time, say on 5th
January, his / her first contribution period
will be from 5th January to 31st March and
his corresponding first benefit will be from
5th October to 31st December
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´ Principal employer to pay contribution *
´ If any contribution payable under this Act
is not paid by the principal employer on
the date on which such contribution hasbecome due, he shall be liable to pay
simple interest at the rate of twelve per
cent per annum or at such higher rate as
may be specified in the regulations till the
date of its actual payment :
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MANNER AND TIME LIMIT FOR MAKING
PAYMENT OF CONTRIBUTION
´ The total amount of contribution (employee·s share
and employer·s share) is to be deposited with the
authorised bank through a challan in the prescribed
form in quadruplicate on or before 21st of monthfollowing the calendar month in which the wages fall
due.
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EMPLOYER TO PAY CONTRIBUTION
The principal employer shall pay in respect of every
employee, whether directly employed by him or by or
through an immediate employer,both the employer's contribution and
the employee's contribution
Delayed payment will attract interest
Employer is entitled to recover the employees contributionby deduction from wages
Any contribution payable under this Act may be recovered
as an arrear of land revenue from the employer(45B )
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Any sum deducted by the principal employer from wages under this Act shall be deemed
to have been entrusted to him by the
employee for the purpose of paying the
contribution in respect of which it wasdeducted.
The principal employer shall bear the
expenses of remitting the contributions to theCorporation.
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RECOVERY OF CONTRIBUTION FROM
IMMEDIATE EMPLOYER
´ A principal employer, who has paid contribution in
respect of an employee employed by or through an
immediate employer, shall be entitled to recover the
amount of the contribution so paid (that is to say theemployer's contribution as well as the employee's
contribution, if any) from the immediate employer, either
by deduction from any amount payable to him by the
principal employer under any contract, or as a debt
payable by the immediate employer.
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´
The immediate employer shall maintain register of employees employed by or through him as provided in
the regulations and submit the same to the principal
employer before the settlement of any amount payable
´ In the case the immediate employer shall be entitled to
recover the employee's contribution from the employee
employed by or through him by deduction from wages
and not otherwise
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EMPLOYERS TO FURNISH RETURNS AND MAINTAIN
REGISTERS IN CERTAIN CASES
´ Every principal and immediate employer shall submit to
the Corporation or to such officer of the Corporation as
it may direct
« returns in such form and containing particulars relating to
persons employed by him or to any factory or
establishment in respect of which he is the principal or
immediate employer as may be specified in regulations
made in this behalf.
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(2) Where in respect of any factory or establishment the
Corporation has reason to believe that a return should
have been submitted but has not been so submitted, theCorporation may require any person in charge of the
factory or establishment to furnish such particulars as it
may consider necessary for the purpose of enabling the
Corporation to decide whether the factory or
establishment is a factory or establishment to which thisAct applies.
(3) Every principal and immediate employer shall
maintain such registers or records in respect of his
factory or establishment as may be required by
regulations made in this behalf.
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INSPECTORS, THEIR FUNCTIONS AND
DUTIESESI Corporation may appoint such persons as Inspectors,as it thinks fit to³
(a) require any principal or immediate employer to furnish
to him such information as he may consider necessaryat any reasonable time enter any office, establishment,
factory examine such accounts, books and other documents
relating to the employment of persons
examine the principal or immediate employer, his agent or
servant
make copies of, or take extracts from, any register, account
book or other document
exercise such other powers as may be prescribed
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DETERMINATION OF CONTRIBUTIONS IN
CERTAIN CASES´ Where in respect of a factory or establishment no returns,
particulars, registers or records are submitted, furnished or
maintained in accordance with the provisions and any Inspector orother official is prevented in any manner by the principal orimmediate employer or any other person, in exercising his functionsor discharging his duties the Corporation may, on the basis of information available to it, by order, determine the amount of contributions payable in respect of the employees of that factory orestablishment :
´ However no such order shall be passed by the Corporation unlessthe principal or immediate employer or the person in charge of thefactory or establishment has been given a reasonable opportunityof being heard.
´ Recovery of contributions
´ Any contribution payable under this Act may be recovered as anarrear of land revenue.
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BENEFITS TO EMPLOYEES «
´ ESI Scheme Major Social Security Benefits in Cash and
Kind include «
1. Medical Benefit ² for self & Family2. Sickness Benefit ² for self 3. Maternity Benefit - for self 4. Disablement Benefit
a). Temporary Disablement Benefit ² for self b). Permanent Disablement Benefit ² for self
5. Dependents· Benefit ² for dependents in case of deathdue to employment injury
6. Funeral Expenses ² to a person who
performs the last rites of IP
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V. BENEFITS
´ Sickness Benefit
´ Sickness signifies a state of health necessitating
Medical treatment and attendance and abstention
from work on Medical grounds. Financial supportextended by the corporation in such a contingency
is called sickness Benefit
´ Sickness Benefit represents periodical payments
made to an Insured Person for the period of
certified sickness after completing 9 Months in
insurable employment.
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SICKNESS BENEFIT
´ To qualify for this benefit, contributions shouldhave been payable for atleast 78 days in the
relevant contribution period.
´ The Maximum duration for availing sickness
Benefit is 91 days in two consecutive benefit
periods
´ Standard benefit rate ² this rate corresponds to
the average daily wage of an Insured person during
the corresponding contribution period and is
roughly half of the daily wage rate.
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MATERNITY BENEFIT«
´ Maternity Benefit is cash payable to an Insuredwomen for the specified period of abstentionfrom work for confinement or mis-carriage or forsickness arising out of pregnancy,
´ ´confinementµ connotes labour after 26 weeksof pregnancy whether the result issue is alive ordead,
´ ´Miscarriageµ means expulsion of the contentsof a pregnant uterus at any period prior to orduring 26th week of pregnancy.
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MATERNITY BENEFIT«
´ Criminal abortion or miscarriage does not,
however, entitle to benefit.
´ The contribution condition is the same as for
Sickness Benefit.´ The daily benefit rate is double the sickness
Benefit rate and is thus roughly equivalent to
the full wages. Benefits is paid for Sundaysalso.
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MATERNITY BENEFIT«
´ The Benefit is paid as follows (Duration)
a). For Confinement
For a total period 12 Weeks beginning not more
than 6 weeks before the expected date of childbirth, if the insured women dies during
confinement or with in 6 weeks thereafter, leaving
behind the living child, the benefit continues to be
payable for the whole of the period. But the childalso die during that period, the benefit will be paid
upto and including the day of the death of the
child.
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MATERNITY BENEFIT«
b). For MiscarriageFor the period of 6 weeks following thedate of miscarriage
c). For sickness arising out of pregnancy,
confinement, Premature birth of child ormiscarriage :For an additional period or upto four weeks.
In all the cases, the benefit is paid only if theinsured women does not work for remunerationduring the period for which benefit is claimed.There is no waiting period.
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MEDICAL BENEFIT «
´ Medical Benefit means Medical care of IPs andtheir families, wherever covered for medicalbenefit.
´ The Standard medical care consists of out-doortreatment, in-patient treatment, all necessarydrugs and dressing, pathological and radiologicalspecialist consultation and care, ante-natal andpost natal care, emergency treatment etc.,
´ Out-door medical care is provided at the stateInsurance Dispensaries or Mobile Dispensariesmanned by full-time doctors (service· system) or atthe private clinics of Insurance MedicalPractitioners (Panel System)
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MEDICAL BENEFIT «
´ Insured worker and members of his family areeligible for medical care from the very first day of the worker coming under ESI Scheme.
´ A worker who is covered under the scheme for firsttime is eligible for medical care for the period of three months. If he/she contributes at least for 78days in a contribution period the eligibility is thereup to the end of the corresponding benefit period.
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DISABLEMENT BENEFIT «
a). Temporary disablement benefit :
´ In case of temporary disability arising out of anemployment injury or occupational disease.,
´ Disablement benefit is admissible to insured
person for the entire period so certified by anInsurance Medical officer / Practitioner for which IPdoes not work for wages.
´ The benefit is not subject to any contributorycondition and is payable at a rate which is not lessthan 70% of daily average wages.
´ However, not payable if the incapacity lasts for lessthan 3 days excluding the date of accident.
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PERMANENT DISABLEMENT BENEFIT «
´ In case an employment injury or occupational
disease results in permanent, partial or total lossof earning capacity,
´ Periodical payments are made to the IP for life at a
rate depending on the actual loss of earning capacity as may be determined and certified by aduly-constituted Medical Board.
´ The rates of Disablement Benefits are determined
in accordance with the provisions of Rule 57 of ESI(Central) Rules, 1991.
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DEPENDANTS¶ BENEFIT «
´ Dependents Benefit is a monthly pension payable to theeligible dependents of an insured person who dies as aresult of an Employment Injury or occupational disease
´ Beneficiaries and Duration of benefit
a). Widow / widows during life or until remarriage
b). Legitimate or adopted son until age 18 or if legitimateson is infirm, till infirmity lasts.
c). Legitimate or adopted unmarried daughter until age 18or until marriage, whichever is earlier, or if infirm, tillinfirmity lasts and she continues to be unmarried.
In the absence of any widow or legitimate child, the benefitis payable to a parent or grandparent for life, to any othermale dependent until age 18 or to an unmarried orwidowed female dependent until age 18.
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Funeral Benefit
Funeral Expenses are in the nature of lump sum payment up to a maximum of Rs.2500/- made to
defray the expenditure on the funeral of deceasedIP. The amount is paid either to the eldest survivingmember of the family or, in his absence, to the
person who actually incurs the expenditure on the
funeral.
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BENEFIT NOT ASSIGNABLE OR
ATTACHABLE
(1) The right to receive any payment of any benefit
under this Act shall not be transferable or assignable.
(2) No cash benefit payable under this Act shall be
liable to attachment or sale in execution of any decree
or order of any Court.
Bar of benefits under other enactmentsWhen a person is entitled to any of the benefits
provided by this Act, he shall not be entitled to receive
any similar benefit admissible under the provisions of
any other enactment.
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BENEFITS NOT TO BE COMBINED
(1) An insured person shall not be entitled to receive forthe same period-
(a) both sickness benefit and maternity benefit; or
(b) both sickness benefit and disablement benefit for
temporary disablement; or(c) both maternity benefit and disablement benefit
for temporary disablement.
(2) Where a person is entitled to more than one of thebenefits mentioned above, he shall be entitled to choose
which benefit he shall receive.
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EMPLOYER NOT TO REDUCE W AGES,
ETC.
No employer by reason only of his liability for any
contributions payable under this Act
shall, directly or indirectly, reduce the wages
of any employee, or except as provided by the
regulations,
discontinue or reduce benefits payable to
him under the conditions of his service which are
similar to the benefits conferred by this Act
EMPLOYER NOT TO DISMISS OR PUNISH
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EMPLOYER NOT TO DISMISS OR PUNISH
EMPLOYEE DURING PERIOD OF SICKNESS,
ETC(1) No employer shall dismiss, discharge, or reduce or
otherwise punish an employee during the period the
employee is in receipt of sickness benefit or maternity
benefit, nor shall he, dismiss, discharge or reduce or
otherwise punish an employee during the period he is in
receipt of disablement benefit for temporary disablement or
is under medical treatment for sickness or is absent from
work as a result of illness duly certified in accordance with
the regulations to arise out of the pregnancy or confinement
rendering the employee unfit for work.
(2) No notice of dismissal or discharge or reduction
given to an employee during the period specified above
shall be valid or operative.
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CONSTITUTION OF EMPLOYEES'
INSURANCE COURT
(1) The State Government shall, by notification in the Official Gazette,
constitute an Employees' Insurance Court for such local area as may be
specified in the notification
If any question or dispute arises as to-
(a) whether any person is an employee within the meaning of this Act
or whether he is liable to pay the employee's contribution, or
(b) the rate of wages or average daily wages of an employee for the
purposes of this Act, or
(c) the rate of contribution payable by a principal employer in respect
of any employee, or
(d) the person who is or was the principal employer in respect of any
employee, or
(e) the right of any person to any benefit and as to the amount and
duration thereof, or
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CONSTITUTION OF EMPLOYEES'
INSURANCE COURT
(f) any other matter required to be decided by the Employees'
Insurance Court under this Act,
such question or dispute shall be decided by the Employees' InsuranceCourt in accordance with the provisions of this Act.
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APPEAL
1) Save as expressly provided in this section, no appeal
shall lie from an order of an Employees' Insurance Court.
(2) An appeal shall lie to the High Court from an order of
an Employees' Insurance Court if it involves substantial
question of law.
(3) The period of limitation for an appeal under this
section shall be sixty days.
PENALTIES
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PENALTIES
If any person--
(a) fails to pay any contribution which under this Act he is liable to
pay, or
( b) deducts or attempts to deduct from the wages of an employee
the whole or any part of the employer's contribution, or
(c) reduces the wages or any privileges or benefits admissible to an
employee, or
(d) dismisses, discharges, reduces or otherwise punishes an
employee, or
(e) fails or refuses to submit any return required by the regulations,
or makes a false return, or
(f ) obstructs any Inspector or other official of the Corporation in the
discharge of his duties, or
(g) is guilty of any contravention of or non-compliance with any of
the requirements of this Act or the rules or the regulations
he shall be punishable--
With imprisonment upto 1 year or with fine upto Rs. 4000/- or with
both.
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´ If any person convicted of an offence under the
Act commits it again, he would be punished
with imprisonment upto 2 years or with fine
upto Rs. 5000/- or with both.
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Employee State Insurance ( Amendment) Bill, 2009, to carry out necessary
changes in the Employees State Insurance Act 1948.
The Bill aims at enhancing the age limit from existing 18 years to 21 years for
the purpose of giving benefits to dependents.
It includes an apprentice as an employee, provides for benefit to workers for
accidents happening while commuting to and from place of work and enables
Central government to make rules to decide dependency of parents on basis of
income.
It also includes increase in public accountability by valuation of assets once in
three years from existing five years and empowers the Central government to
specify, by rules, the conditions for medical treatment of an insured person whotakes voluntary retirement.
The new measure would ensure health services to the unorganised sector
workers under the Rashtriya Swasthya Bima Yojana.